chr7-19117047-CCGCCGCCGCCGCCCG-C

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 2P and 8B. PM1BS1BS2

The NM_000474.4(TWIST1):​c.260_274del​(p.Ala87_Gly91del) variant causes a inframe deletion change. The variant allele was found at a frequency of 0.000108 in 1,398,748 control chromosomes in the GnomAD database, including 8 homozygotes. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.00031 ( 1 hom., cov: 32)
Exomes 𝑓: 0.000084 ( 7 hom. )

Consequence

TWIST1
NM_000474.4 inframe_deletion

Scores

Not classified

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 4.49
Variant links:
Genes affected
TWIST1 (HGNC:12428): (twist family bHLH transcription factor 1) This gene encodes a basic helix-loop-helix (bHLH) transcription factor that plays an important role in embryonic development. The encoded protein forms both homodimers and heterodimers that bind to DNA E box sequences and regulate the transcription of genes involved in cranial suture closure during skull development. This protein may also regulate neural tube closure, limb development and brown fat metabolism. This gene is hypermethylated and overexpressed in multiple human cancers, and the encoded protein promotes tumor cell invasion and metastasis, as well as metastatic recurrence. Mutations in this gene cause Saethre-Chotzen syndrome in human patients, which is characterized by craniosynostosis, ptosis and hypertelorism. [provided by RefSeq, Jul 2020]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

PM1
In a chain Twist-related protein 1 (size 201) in uniprot entity TWST1_HUMAN there are 62 pathogenic changes around while only 11 benign (85%) in NM_000474.4
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.000307 (46/150060) while in subpopulation AFR AF= 0.00101 (42/41386). AF 95% confidence interval is 0.000771. There are 1 homozygotes in gnomad4. There are 17 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 46 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TWIST1NM_000474.4 linkuse as main transcriptc.260_274del p.Ala87_Gly91del inframe_deletion 1/2 ENST00000242261.6
TWIST1NR_149001.2 linkuse as main transcriptn.575_589del non_coding_transcript_exon_variant 1/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TWIST1ENST00000242261.6 linkuse as main transcriptc.260_274del p.Ala87_Gly91del inframe_deletion 1/21 NM_000474.4 P1
TWIST1ENST00000354571.5 linkuse as main transcriptc.57_71del p.Ala20_Gly24del inframe_deletion, NMD_transcript_variant 1/32

Frequencies

GnomAD3 genomes
AF:
0.000307
AC:
46
AN:
149952
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00102
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000663
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000203
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000297
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000365
AC:
18
AN:
49264
Hom.:
4
AF XY:
0.000309
AC XY:
9
AN XY:
29172
show subpopulations
Gnomad AFR exome
AF:
0.00820
Gnomad AMR exome
AF:
0.000882
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000419
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000129
Gnomad OTH exome
AF:
0.000697
GnomAD4 exome
AF:
0.0000841
AC:
105
AN:
1248688
Hom.:
7
AF XY:
0.0000848
AC XY:
52
AN XY:
613002
show subpopulations
Gnomad4 AFR exome
AF:
0.00225
Gnomad4 AMR exome
AF:
0.000321
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000355
Gnomad4 SAS exome
AF:
0.0000359
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000354
Gnomad4 OTH exome
AF:
0.0000779
GnomAD4 genome
AF:
0.000307
AC:
46
AN:
150060
Hom.:
1
Cov.:
32
AF XY:
0.000232
AC XY:
17
AN XY:
73240
show subpopulations
Gnomad4 AFR
AF:
0.00101
Gnomad4 AMR
AF:
0.0000662
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000204
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000297
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000332

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs760471055; hg19: chr7-19156670; API